How to recover from a bad electronic health records implementation

Tech
August 4, 2021

Is your health care organization reeling from a bad EHR implementation?

There have been rumblings from hospital leadership and congressional committees about the Veterans Administration (VA) Hospitals’ implementation of the Cerner Corporation electronic health record (EHR) replacing the VistA EHR.  The $10 million EHR overhaul has been controversial since the staggered rollout started in Spokane, Washington.  One report noted that months after the go-live, fewer users knew how to operate the …

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Primary care: I love the variety and the intimacy of the problems that are placed before me

Physician
August 4, 2021

An excerpt from Becoming Doctors 25 Years Later: Twenty five physicians sharing the journey from medical student to retirement.

If I get out of bed now, I can squeeze in that ten-minute morning yoga routine on YouTube. But it feels so nice lying here, sunlight streaming in, sips of coffee warming my body and boosting my heart rate up a notch. If …

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Be the Simone Biles of health care

Physician
August 4, 2021

In a world full of white coats, wear a leotard.

The news of Simone Biles’s recent withdrawal from the Tokyo Olympic Games shocked the world. What was surprising to many was the reason—not a physical injury, but a commitment to prioritizing her mental health. Biles later revealed that she had been experiencing a case of the “twisties.”

So, what are the twisties?

Twisties is a term that refers to a mental block or …

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Replaceable thoughts and essential books to help you survive burnout [PODCAST]

Podcast
August 3, 2021
YouTube video



“If you don’t ask for something you want, then you have already accepted the answer of no. Go ahead and ask for what you want and need. You may not get it this time but ask again in the future.

We …

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Do you have an anti-fat bias?

Conditions
August 3, 2021

When Linda said she wanted to weigh 150 pounds, her doctors balked. In the fall of 2020, Linda weighed over twice that number. Her obesity was causing her debilitating knee pain, leading her to miss work as a mammography technician, a job she loved.

Wanting to return to what she enjoyed, Linda underwent bariatric surgery. With a large portion of her stomach removed, she began a stringent diet and exercise regimen, …

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Don’t let anyone tell you to stay in your lane

Physician
August 3, 2021

Do you ever wonder why some issues are global or universal? It does not matter if you are a surgeon, a mega soccer star or a world-class runner—we all have things in common. Whether you are at the top of your game or just climbing your way, we must always fight for equality, for basic rights, for humanity?

While driving home, I heard an NPR interview with Megan Rapinoe, the U.S. …

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Can doctors have personalities?

Physician
August 3, 2021

Can doctors have personalities? I get this question a lot, or, rather, I get told by patients as a running joke that physicians typically lack the fun gene. Understandably, we have dedicated our youth to the medical profession and have missed out on most of our twenties and thirties by completing rigorous training and building our new careers to where we do lose a crucial time in early adulthood development. …

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How racial microaggressions lead to poor care outcomes [PODCAST]

Podcast
August 2, 2021
YouTube video

“A few weeks ago, a white physical therapy colleague of mine unconsciously committed a racial microaggression. She was interviewing her patient, a middle-aged Black male, about his living environment. She asked him if his daughter was at home with him all day or if she went to work.

He asked her …

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Take back the power and joy of being a doctor

Physician
August 2, 2021

I cannot accept that others have control of how I feel, act and think. I admit it’s easier to blame others — the disrupted system, the incompetent “leaders,” the unhealthy environment and the micro-aggressive behaviors. But I refuse to give that power to others! I’m the owner of my goals, thoughts, feelings and actions. And I refuse to burn out!

Burnout

Dr. Freudenberger first coined the term in 1974 to define …

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The future of general internal medicine is bright

Physician
August 2, 2021

A 2020 President’s Message by Dr. Douglas DeLong struck a reassuring, optimistic note regarding the future of general internal medicine, a primary care specialty that has struggled in the last decade with decreasing numbers of residents choosing to join its ranks. Data shows that since 2011, the percentage of U.S.-trained physicians who have matched into primary care positions has been on the decline.

Many factors …

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How technology in the ER boosts the patient experience [PODCAST]

Podcast
August 1, 2021
YouTube video

“When harnessing easy-to-use technology to provide answers to frequently asked questions such as the ER wait time, or the ER’s address, for instance, patients and their families are properly informed, and clinical staff are given the time to focus on their most important job: caring for patients. The use of …

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A conversation on death and hope a pediatric palliative care physician

Physician
August 1, 2021

As rising fourth-year medical students, we talked about caring for dying patients with Dr. Angie Anderson (AA), a pediatric palliative care specialist. An abridged version of our conversation is transcribed below.

Lindsey Pileika (LP): Honored to speak with you, Dr. Anderson. I just wanted to preface our interview with experiences that I’m bringing to this conversation. During my third year, I was working on the pediatric hematology-oncology service, where we frequently …

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Robotic surgery’s impact on training the next generation of surgeons

Education
August 1, 2021

While we’re not there yet, we may be approaching a point where we’re facing a significant skills shortage among surgeons. A 2017 study by Meritt Hawkins found that 52 percent of orthopedic surgeons were 55 and older, as were 48 percent of general surgeons. As many surgeons approach retirement age, there is a pressing need to up-skill and up-level the next generation of surgeons, especially with demand …

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Medical school and the lessons learned from football [PODCAST]

Podcast
July 31, 2021
YouTube video

“In the Spring semester of my final year as a football player, my college team faced necessary coaching, staff, and player position changes. At this point in my college career, we had yet to have a winning season. These changes were made to shift our program’s culture and give …

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Why becoming a “doctorpreneur” made me a better physician 

Physician
July 31, 2021

I have been a “doctorpreneur” for the past decade.  I’ve done everything from locums work to real estate to coaching women physicians and residents to advising companies and venture capital firms, and the list goes on.  If it’s inspiring to me, I dive in.  What I’ve found out from all of my business ventures is that once I decided to make medicine something I did because I loved it, and not my primary …

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An underutilized way to relieve stress [PODCAST]

Podcast
July 30, 2021
YouTube video

“As a former hospitalist who transitioned out of clinical practice in 2015, I’ve been deep in the physician wellness space for years. Far and away, the most effective way I’ve supported health care professionals during this time (often in my role as a founding board member of the mindful health …

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This obstetrician recommends midwifery care

Physician
July 30, 2021

In 2014 I learned about the worsening maternal mortality statistics in the U.S. and the racial disparities in maternal health, which socioeconomic or medical risk factors could not explain away. I decided a community-based solution was necessary because, as an African American obstetrician, I had no expectation that my fellow obstetricians would soon recognize how racism permeated our specialty and impacted …

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Remote patient monitoring: a health IT perspective [PODCAST]

Podcast
July 29, 2021
YouTube video

“The primary benefits for mobile care units are the fact that they decrease patient travel times by arriving at their residences and ensuring that appointments are never missed. It also relieves the stress of finding transportation for dialysis patients, outright eliminating the need for the CMS to find alternative transport …

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Burnout and bias? Or medical gaslighting?

Physician
July 29, 2021

Five years into my practice as an academic allergist/immunologist, my perceptions continue to evolve. Though once primarily informed by my mentors’ wisdom, I continue incorporating my experiences as both physician and autoimmune patient to guide my practice. Though we all know medicine isn’t like it used to be, nostalgia is bittersweet. In its wake, the real question remains: how are we going to respond to ongoing changes and fight for …

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If Simone Biles were a doctor she would be vilified, not praised

Physician
July 28, 2021

When the greatest-of-all-time gymnast Simone Biles withdrew from the Olympics to focus on her mental wellbeing, most observers applauded her decision, viewing it as an act of courage and bravery, an eye-opener for breaking the stigma around mental health. Many felt it was a positive step (no pun intended) because it reignited conversations about elite athletes and other high-stress professionals and their ability to perform under psychological adversity. However, does the …

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